Individual provider Active NPI

Jerry Eugene Flexman, PH.D.

  • Clinical Neuropsychologist
  • Dayton, OH
National Provider Identifier
1649237553
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
2375 Issued in OH
Practice address
2621 Dryden Rd.
Suite 202
Dayton, OH 45439
Phone
(937) 256-5300
Fax
(937) 258-4162
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 2375 OH Primary

Addresses

Primary practice location

2621 Dryden Rd.
Suite 202
Dayton, OH 45439

Mailing address

2621 Dryden Rd the Flexman Myers Clinic
Suite 202
Dayton, OH 45439
Phone (937) 256-5300

Other identifiers 1

IdentifierTypeStateIssuer
0336569MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120305000126 OH Practitioner - Clinical Psychologist 5193812444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Flexman Myers Clinic LLCGroup PAC ID 6305103672, 2 clinicians

Practice addresses (Care Compare)

2621 Dryden Rd
Suite 202
Moraine, OH 45439-1600
Phone (937) 256-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2375OHMDClinical Neuropsychologist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1649237553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 DRYDEN RD THE FLEXMAN MYERS CLINIC",
            "address_2": "SUITE 202",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45439",
            "telephone_number": "937-256-5300",
            "fax_number": "937-258-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 DRYDEN RD.",
            "address_2": "SUITE 202",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45439",
            "telephone_number": "937-256-5300",
            "fax_number": "937-258-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEXMAN",
        "first_name": "JERRY",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "OH",
            "license": "2375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0336569",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.